All required fields must be completed in order to submit this form. For assistance, please contact us at (305) 823-0072.

I, , owner of the above listed property, hereby request access to the roof for . Furthermore, I acknowledge that the vendor must provide documents listed below before gaining access to the roof.

• License
• Certificate of General Liability
• Certificate of Workers Comp

Certificates should be issued as follows:

,
& GRS Management, Inc
15280 NW 79TH Court Suite 101
Miami Lakes, FL 33016

**All certificates of insurance must name the Association as an additional insured**

This form must be completed and turned in to the management office a minimum of 48 hours ahead of time. You will receive confirmation once this request has been approved.

All roof access appointments must be scheduled between 8:00 a.m. – 12:00 p.m.